North Coast Veterinary Specialists and Referral Centre, Sunshine Coast, Queensland, Australia.
Aust Vet J. 2021 Dec;99(12):513-516. doi: 10.1111/avj.13118. Epub 2021 Sep 1.
Surgical management of chondrosarcoma with hemipelvectomy is well described, but there have been no reports on extensive excision involving bilateral pubis and unilateral ischium. This report describes a novel pelvectomy technique for the treatment of chondrosarcoma in a large-breed dog. A 12-year-old Labrador Retriever presented for tenesmus due to a large, intra-pelvic mass which was confirmed on computed tomography (CT). Surgery involved removal of the entire left ischium and both pubic bones with preservation of both hind limbs. Histopathology confirmed the diagnosis of a high-grade chondrosarcoma with tumour-free margins of less than 3 mm. The dog recovered well following surgery and regained ambulation within 9 days. Four months postoperatively, the dog had no ongoing pain or tenesmus and only a mild gait abnormality in the left hind limb. Pelvectomy involving the entire pubis and unilateral ischium was well tolerated in a large-breed dog. This technique may offer a novel surgical option to treat neoplasia previously considered too extensive for complete excision.
半骨盆切除术治疗软骨肉瘤的方法已有详细描述,但对于涉及双侧耻骨和单侧坐骨广泛切除的病例尚未见报道。本报告描述了一种用于治疗大型犬软骨肉瘤的新型骨盆切除术技术。一只 12 岁的拉布拉多猎犬因巨大的盆腔内肿块导致里急后重就诊,该肿块在计算机断层扫描(CT)上得到证实。手术包括切除整个左侧坐骨和双侧耻骨,同时保留后肢。组织病理学证实诊断为高级别软骨肉瘤,切缘肿瘤无残留,小于 3mm。手术后,狗恢复良好,在 9 天内恢复了行走能力。术后 4 个月,狗无持续疼痛或里急后重,仅左后肢有轻度步态异常。对于大型犬来说,整个耻骨和单侧坐骨的骨盆切除术是可以耐受的。该技术可能为治疗以前认为切除范围太广而无法完全切除的肿瘤提供一种新的手术选择。